Active NPI
Meesha B Gwan-Nulla, MD
- Internal Medicine Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 081189
- Practice address
- 2737 Warm Springs Rd BLDG BC
Columbus, GA 31904-6859 - Phone
- (706) 653-2255
- Fax
- (706) 653-2329
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2015-01372 | NC | |
| Internal Medicine Physician | 207R00000X | 2009028452 | MO | |
| Internal Medicine Physician | 207R00000X | MD064633L | PA | |
| Internal Medicine Physician | 207R00000X | 081189 | GA | Primary |
Addresses
Primary practice location
2737 Warm Springs Rd BLDG BC
Columbus, GA 31904-6859
Mailing address
16 Physician Dr
Clyde, NC 28721-8486
Phone (828) 456-9836
Other practice location 1
16 Physician Dr
Clyde, NC 28721-8486
Phone (828) 456-9836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2737 Warm Springs Rd
Suite B and C
Columbus, GA 31904-5328
Phone (706) 653-2255
Hospital & facility affiliations
- Enhabit Home Health
- Amedisys Home Health of Macon
- Centerwell Home Health
- Piedmont Columbus Regional Midtown
- Piedmont Columbus Regional Northside
- St Francis Hospital- Emory Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Ambulatory Healthcare Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Conemaugh Health Initiatives | Past | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Past | Accepting new patients |
Locations
2737 Warm Springs Rd
Ste C
Columbus, GA 31904
Phone (706) 322-0304
2737 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 576-5149
2737 Warm Springs Rd
Bldg Bc
Columbus, GA 31904
Phone (706) 653-2255
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
Internal Medicine
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1699240531
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1750349635
-
- Family Medicine Physician
- New Paris, PA
- NPI 1487724597
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Macon, GA
- NPI 1356399018
-
- Home Health Agency
- Columbus, GA
- NPI 1750369245
-
- Home Health Agency
- Columbus, GA
- NPI 1184651531
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1407082308
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1669435707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PHYSICIAN DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218486",
"telephone_number": "828-456-9836",
"fax_number": "828-452-9814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 WARM SPRINGS RD BLDG BC",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046859",
"telephone_number": "706-653-2255",
"fax_number": "706-653-2329"
}
],
"practiceLocations": [
{
"address_1": "16 Physician Dr",
"address_purpose": "LOCATION",
"city": "Clyde",
"state": "NC",
"postal_code": "287218486",
"country_code": "US",
"telephone_number": "828-456-9836",
"fax_number": "828-452-9814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GWAN-NULLA",
"first_name": "MEESHA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2015-01372",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2009028452",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD064633L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "081189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.